Ke manaʻo nei hoʻi ʻoe e emi ana kou mimi ʻana? (Oliguria) E kamaʻilio kākou e pili ana!

Ua manaʻo paha ʻoe ua emi pinepine kou mimi ʻana a emi pinepine paha? ʻAʻole paha ʻoe i ʻike. Akā, ua ʻike anei ʻoe i kekahi manawa he hōʻailona liʻiliʻi kēia e hewa ana kekahi mea ʻē aʻe me kou kino? No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia emi ʻana o ka mimi , kahi i ʻike ʻia ma ke ʻano lapaʻau ʻo Oliguria .

He aha kēia (Oliguria)?

I ka ʻōlelo maʻalahi, ʻo Oliguria ka wā e hana ai kou kino i ka mimi liʻiliʻi ma mua o ka maʻamau i kēlā me kēia lā. ʻO ka huaʻōlelo "oliguria" paha e like me kahi huaʻōlelo nui, akā ʻo ia hoʻi "ka emi ʻana o ka mimi i hoʻopuka ʻia."

ʻO ka maʻamau, pono i kahi pākeke ke hoʻokuʻu ma waena o 400 a me 500 milliliters o ka mimi i kēlā me kēia lā, ʻo ia hoʻi ma kahi o ʻelua kīʻaha . Inā emi ma mua o kēlā, kapa mākou ia he (Oliguria). No nā pēpē liʻiliʻi a me nā keiki, he ʻokoʻa iki kēia mau helu. Hoʻoholo ʻia kēia e ko lākou kaumaha.

• No kahi pēpē: Ma lalo o 1 mililita o ka mimi no kēlā me kēia kilokani o ke kaumaha i kēlā me kēia hola.
• No ke keiki: Ma lalo o 0.5 ml o ka mimi no ke kilokani o ke kaumaha o ke kino i kēlā me kēia hola.

He mea maʻamau kēia emi ʻana o ka mimi, no ka mea, he nui nā kumu no kēia. ʻAʻole ia he mea weliweli i nā manawa a pau. Eia nō naʻe, ma muli o ke kumu, hiki ke lilo i mea weliweli i kekahi manawa. No laila he mea nui e makaʻala i kēia.

Aia kekahi mau ʻano o kēia? (Nā ʻano o Oliguria)

ʻAe, ua hoʻokaʻawale nā ​​kauka i kēia kūlana (Oliguria) i ʻelua mau ʻano ma muli o ka lōʻihi o kona hanana:

1. ʻOliguria koʻikoʻi: He kūlana kēia e hiki koke mai ana.

2. ʻOliguria mau loa: He manawa iki kēia e ulu ai. Hoʻemi ka nui o ka mimi i hana ʻia i ka hala ʻana o ka manawa. He mea maʻamau kēia ʻano i ka poʻe i noho ma ka dialysis no ka manawa lōʻihi ma muli o ka maʻi puʻupaʻa.

He aha nā hōʻailona o kēia? (Nā hōʻailona o Oliguria)

ʻO ka hōʻailona nui, ʻaʻole ʻoe e mimi nui e like me kāu maʻamau , a i ʻole ka nui o kāu mimi he liʻiliʻi loa . Ma waho aʻe o kēlā, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe ma muli o ke kumu. ʻO lākou kēia:

• ʻEha ka ʻōpū
• Nā lima a me nā wāwae anu
• ʻEha ʻaoʻao (kahi o nā puʻupaʻa)
• ʻO ka puʻuwai wikiwiki ma mua o ka maʻamau (tachycardia)
• Hoʻonui ʻia ka acidity i loko o ke koko (metabolic acidosis)
• Hoʻonui ʻia ka nui o ka potassium i loko o ke koko (hyperkalemia)
• Hoʻonui ʻia nā pae ʻōpala i loko o ke koko (uremia)
• Ke koko haʻahaʻa (hypotension)
• Pehu (edema)

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻoiai inā ʻaʻole ʻoe e mimi nui ana, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

No ke aha e hana ai kēia? He aha nā kumu? (He aha ke kumu o Oliguria?)

Hiki ke hoʻokaʻawale ʻia nā kumu o ka oliguria i ʻekolu mau ʻāpana nui. E noʻonoʻo i ka ʻōnaehana mimi i loko o ko kākou kino e like me kahi kānana wai. Hiki ke hana ʻia kēia e nā pilikia i loko o kēia kānana, ʻo ia hoʻi, ma mua o nā puʻupaʻa, i loko o nā puʻupaʻa, a ma hope paha o nā puʻupaʻa.

1. Nā kumu ma mua o ka renal:

ʻO ke ʻano kēia, aia kekahi mea hewa i loko o ka ʻōnaehana mimi ma mua o ka hiki ʻana o ke kaʻina kānana ʻōpala i nā puʻupaʻa. I ka ʻōlelo maʻalahi, hiki ke hana ʻia kēia inā ʻaʻole lawa ke koko i nā puʻupaʻa .

• Ka maloʻo ʻana o ka wai: ʻAʻole lawa ka wai i loko o ke kino. ʻO kēia ke kumu maʻamau. Hiki ke hana kēia inā ʻoe e luaʻi nui, loaʻa ka maʻi pākīkī, a hou nui paha.
• Ka nalowale nui o ke koko: Inā nalowale nui ke koko, e like me kahi ulia nui.
• Nā kuni: Ma muli o nā kuni nui.
• Sepsis: He kūlana e hoʻopilikia ai i ke kino holoʻokoʻa ma muli o kahi maʻi koʻikoʻi.
• Ka hemahema o ke akepaʻa.
• Kekahi mau maʻi puʻuwai a me nā māmā.
• Maʻi vascular o nā puʻupaʻa.
• ʻOki kino.

E noʻonoʻo, ua hana nui ʻoe i ke kakahiaka holoʻokoʻa, e hou nui ana, akā ʻaʻole i inu i ka wai lawa. Hiki iā ʻoe ke ʻike i ka emi ʻana o ka nui o ka mimi āu e hana ai i kēlā lā. He laʻana maʻalahi kēlā o kahi maʻi i kapa ʻia ʻo oliguria, i hoʻokumu ʻia e ka dehydration.

2. Nā kumu o ka puʻupaʻa:

ʻO ke ʻano kēia he hewa kekahi mea me nā puʻupaʻa ʻelua . Inā ʻaʻole hana pono nā puʻupaʻa, e emi ana ka hana ʻana o ka mimi.

• ʻO ka hōʻino ʻana o nā puʻupaʻa ma muli o nā lāʻau lapaʻau a i ʻole nā ​​​​mea ʻawahia: No ka laʻana, hiki i kekahi mau lāʻau ʻeha ke hoʻopilikia i nā puʻupaʻa inā lawe ʻia i nā nui kiʻekiʻe no ka manawa lōʻihi. Hiki i kekahi mau mea ʻawahia ke hana i kēia.
• Nā maʻi puʻupaʻa: Nā kūlana kikoʻī no ka puʻupaʻa e like me `(Glomerulonephritis)` (ka mumū ʻana o nā ʻāpana kānana o ka puʻupaʻa) a me `(Acute Tubular Necrosis)` (ka hōʻino koke ʻana i nā tubules o ka puʻupaʻa).

3. Nā kumu ma hope o ka renal:

ʻO ke ʻano kēia, aia kahi ālai ma kekahi wahi o ke ala e hana ʻia ai ka mimi e nā puʻupaʻa a haʻalele i ke kino. ʻOiai ke hana nei nā puʻupaʻa i ka mimi, ʻaʻohe ala e puka ai i waho.

• Ka ālai ʻana o ka puka mimi: No ka laʻana, i nā kāne, i ka wā e hoʻonui ʻia ai ka ʻōpū prostate (BPH), hiki ke ālai ʻia ka puka o ka mimi.
• Nā pōhaku ureteral: Ke paʻa nā pōhaku puʻupaʻa i loko o nā ureters.
• I kekahi manawa hiki ke hana ʻia kēia i kahi kanaka nona kahi catheter mimi a piʻo ke catheter i kekahi wahi a paʻa.

He oliguria dehydration anei kēia?

ʻAʻole, ʻaʻole i nā manawa a pau. Akā , ʻo ka maloʻo ka wai ke kumu nui a me ka mea maʻamau o Oliguria. Inā ʻaʻole ʻoe e inu i ka wai lawa, hiki ke emi iho ka nui o ka wai o kou kino a hiki ke emi iho ka nui o kāu mimi. Eia nō naʻe, hiki ke hana ʻia ʻo Oliguria e nā kumu ʻē aʻe, e like me nā pilikia o nā puʻupaʻa a me nā mea e ālai ana i ke ala mimi, a mākou i kūkākūkā ai ma mua.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia? (Nā kumu pilikia)

(Oliguria) hiki ke ulu i loko o kekahi, akā ʻoi aku ka nui o ka pilikia o kekahi poʻe:

• ʻO ka poʻe me ka maʻi puʻupaʻa: ʻO ka poʻe me ka maʻi puʻupaʻa he pilikia nui lākou no ka ʻeha puʻupaʻa koʻikoʻi (AKI).
• ʻO ka poʻe i hoʻopaʻa mua ʻia i ka haukapila.
• ʻO ka poʻe e hana ʻia ana i ka `(Dialysis)`.
• Nā kānaka ma luna o 50 mau makahiki.

He aha ka mea e hana ʻia inā ʻaʻole ʻoe e mimi nui? He aha nā pilikia? (He aha ka mea e hana ʻia inā ʻaʻole ʻoe e mimi nui?)

Inā hoʻomau ka emi ʻana o ka mimi i hoʻopuka ʻia, ʻoiai inā hiki koke mai (Acute Oliguria), ʻo ia hoʻi, ʻaʻole hiki i kou mau puʻupaʻa ke kānana pono i nā ʻōpala . Hiki i kēia ke alakaʻi i ka Acute Kidney Failure . He kūlana weliweli loa kēia. Eia kekahi o nā pilikia make e hiki ke hana:

• Nā hemahema o ke electrolyte: Nā mea e like me ke kiʻekiʻe o ka potassium i loko o ke koko (hyperkalemia) a me ka metabolic acidosis. Hiki i kēia ke hoʻopilikia i ka puʻuwai.
• Nā maʻi neurological: Hiki i kēia ke piʻi mai ka hyperreflexia a hiki i nā hopu a me ka coma.
• Nā pilikia o ka ʻōnaehana hoʻoheheʻe: Ke kahe ʻana o ke koko i loko o ka ʻōpū a i ʻole nā ​​​​​​naʻau (ke kahe ʻana o ka gastrointestinal), ka mumū o ka ʻōpū (gastritis).
• Nā pilikia o ka puʻuwai a me ke koko: ka puʻuwai kūpono ʻole (arrhythmia), ka hāʻule ʻana o ka puʻuwai congestive, ke koko kiʻekiʻe.
• Nā pilikia o ka māmā: Nā ʻano hanu ʻano ʻē, no ka laʻana "ka hanu ʻana o Kussmaul" (ka hanu hohonu a wikiwiki).

No laila, ʻaʻole ia he manaʻo maikaʻi e kali wale a ʻike inā ʻoe e mimi iki ana. He ʻōlelo aʻo paha ia mai ko mākou kino.

Pehea e ʻike ai nā kauka i ka oliguria?

Ke hele ʻoe i ke kauka no ka mea ʻaʻole ʻoe e mimi nui ana, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino (e like me nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe ai). A laila e hana lākou i kahi hoʻokolokolo kino. Eia kekahi, hiki iā lākou ke hana i kekahi mau hoʻokolohua, e like me:

• Nā hoʻāʻo koko: E nānā i ka hana o nā puʻupaʻa, nā paʻakai koko, a inā he mau maʻi.
• Nā hoʻāʻo mimi (Urinalysis): E nānā i ka nui o ka mimi āu e hoʻoheheʻe nei a me nā ʻāpana i loko o ka mimi (e like me ke koko, ka protein).
• Nā hoʻāʻo kiʻi: Hiki ke hana ʻia kahi CT scan a i ʻole kahi ultrasound scan o nā puʻupaʻa/ʻōpū mimi e nānā i kekahi mau mea ālai a i ʻole nā ​​​​pūpū i loko o nā puʻupaʻa a i ʻole ka ʻōpū mimi.

Pehea e mālama ai i ka oliguria?

Hoʻohana ʻia ka mālama ʻana o Oliguria ma muli o ke kumu kumu.

• Inā ma muli o kahi ālai ʻana: E wehe ke kauka i ka ālai ʻana. Hiki ke lilo i ālai ʻia i loko o ka urethra, a i ʻole he ālai ʻia paha i loko o kahi catheter urinary. Pono paha kahi hana liʻiliʻi.
• Inā ma muli o kahi maʻi: e hāʻawi ʻia nā antibiotics a i ʻole antifungals.
• Inā ua hōʻino ka lāʻau lapaʻau i nā puʻupaʻa: E hoʻōki ke kauka i ka lāʻau a hoʻomaka i kahi lāʻau ʻē aʻe inā pono.
• Inā ma muli o ka maloʻo ʻana o ka wai (e like me ka luaʻi ʻana, ka maʻi pākī): E kōkua kāu kauka iā ʻoe e hoʻomaʻū hou i ka wai. Hiki i kēia ke komo pū me ka hāʻawi ʻana iā ʻoe i nā wai e like me ka wai a i ʻole ka wai huaʻai, a i ʻole ka hāʻawi ʻana iā ʻoe i nā wai IV.
• Inā ʻaʻole maikaʻi kou mau puʻupaʻa (Kidney failure): Pono paha ʻoe e hana i ka dialysis (ka kānana koko).
• Eia kekahi, hiki i kāu kauka ke aʻo aku iā ʻoe e ʻai i nā meaʻai kiʻekiʻe i ka protein a me nā calorie, ma muli o kou kūlana.

Ua maikaʻi anei ke inu wai inā ʻaʻole hiki iaʻu ke mimi? (Pono anei au e inu i ka wai inā ʻaʻole hiki iaʻu ke mimi?)

Aia kēia i ke kumu. Inā ʻo kou emi ʻana o ka mimi ʻana ma muli o ka loaʻa ʻole o ka wai i loko o kou kino, ʻo ia hoʻi ka dehydration, a laila pono ʻoe e inu i ka wai.

ʻO nā mea maikaʻi loa:

• Wai maʻemaʻe
• Nā hopena hoʻomaʻū e loaʻa ana nā electrolytes (e like me Jeevani)
• Nā sopa māmā (nā sopa mahu)
• Wai hua wai
• ʻO kekahi mau mea inu haʻuki

Eia nō naʻe, inā he maʻi puʻupaʻa a maʻi puʻuwai paha kou, pono ʻoe e inu wale i ka nui o ka wai a kāu kauka e ʻōlelo ai. A i ʻole, hiki i ka inu ʻana i ka nui o ka wai ke hoʻopilikia. No laila, inā kānalua, ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka.

Āhea wau e ʻike ai i kaʻu mea lawelawe mālama ola?

Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ka maʻi puʻupaʻa, e hahai i nā ʻōlelo a kāu kauka e pili ana i ka lāʻau lapaʻau, ka lawe ʻana i ka wai, a me ka ʻai.

Inā manaʻo ʻoe e mimi iki ana ʻoe ma mua o ka maʻamau, e hoʻāʻo mua e inu i ka wai hou aʻe. Akā inā hoʻomau ka haʻahaʻa, e ʻike pono i ke kauka. Inā lilo kou mimi i melemele ʻeleʻele, he hōʻailona nō hoʻi ia o ka maloʻo a me ka emi ʻana o ka mimi.

Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• He aha ke kumu e emi ai kaʻu mimi?
• He kūlana koʻikoʻi anei kēia?
• He nui koʻu mau hōʻailona?
• He aha nā lāʻau lapaʻau āu e paipai nei?
• Pono anei au e hopohopo e pili ana i nā pilikia?
• Pono anei iaʻu e hoʻololi i kaʻu meaʻai a me kaʻu mea inu?
• Pono anei au e ʻike i kahi mea lapaʻau meaʻai?

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona me ka emi ʻana o ka mimi ʻana , e ʻimi koke i ke kōkua lapaʻau:

• ʻEha ʻōpū
• Ka huikau/nalowale o ka ʻike
• Luhi
• kuni

Pehea e hiki ai ke pale ʻia ka oliguria?

• Inā loaʻa iā ʻoe ka maʻi pākī a i ʻole ka luaʻi ʻana, e inu i ka nui o ka wai a me nā wai e like me ka hiki. He mea nui loa ia e pale aku i ka maloʻo ʻana o ka wai.
• E makaʻala i kou ʻano hoʻokahe mimi i ka wā e ʻike ai ʻoe. He mea nui e ʻike koke iā ia.
• Inā loaʻa iā ʻoe nā pilikia hanu, nā maʻi puʻupaʻa, a i ʻole ka maʻi puʻuwai, e hahai pono i nā ʻōlelo a kāu kauka. E makaʻala i ka nui o ka wai āu e inu ai i kēlā me kēia lā a me nā ʻano meaʻai āu e ʻai ai.

Leka Hoʻihoʻi Hope Loa

ʻO ka emi ʻana o ka nui o ka mimi āu e hana ai, ʻo ia ke ʻano o kou kino e hoʻāʻo nei e haʻi iā ʻoe i kekahi mea . Hiki ke maʻamau, a i ʻole he hōʻailona paha ia o kahi pilikia koʻikoʻi. Inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia koʻikoʻi.

He nui ka poʻe e hilahila iki a hilahila paha e kamaʻilio e pili ana i ka mimi ʻana , a i ʻole ka mimi ʻana. Akā, ʻo ka mālama ʻana i ka nui o nā manawa a me ka nui o kou mimi ʻana i kēlā me kēia lā he ala koʻikoʻi ia e aʻo ai e pili ana i kou olakino.

Inā ʻoe e luaʻi ana a loaʻa paha i ka maʻi pākī, e inu nui i ka wai e pale aku ai i ka maloʻo ʻana o ka wai. Inā ʻoe e inu mau ana akā ke manaʻo nei ʻoe e emi ana kou mimi ʻana , ʻo ia ka manawa e ʻike ai i ke kauka e ʻike i ke kumu a loaʻa ka lāʻau lapaʻau. Ua ʻoluʻolu nā kauka e kamaʻilio e pili ana i kēia mau mea, no laila e kōkua lākou iā ʻoe e ʻoluʻolu e kamaʻilio e pili ana iā lākou. ʻO ʻoe ka mea e hopohopo nui ai no kou olakino. No laila, mai hūnā i kekahi mea a kamaʻilio me kāu kauka me ka makaʻu ʻole.

ʻOliguria , ka emi ʻana o ka mimi, ka maʻi puʻupaʻa, ka maloʻo ʻana o ka wai, ka ʻōnaehana mimi, nā hōʻailona, ​​ka lāʻau lapaʻau